20/02/2026
Triple Stenting in LAD Artery
A 64-year-old patient with a prior history of PTCA to the LAD presented with Non-ST elevation myocardial infarction (NSTEMI). Coronary angiography revealed significant In-Stent Restenosis (ISR) involving the LAD, 60–70% in the proximal segment, 70–80% in the mid, and 60–70% in the distal segment while LMCA, LCx, RCA and branches, were angiographically normal.
The procedure was performed via right radial access. Lesion preparation was done using a SC balloon, followed by sequential stenting of the LAD with 2.75 × 38 mm in the proximal segment, 2.5 × 26 mm in the mid segment, and 2.2 × 40 mm in the distal segment. Advancement through previously deployed stents was challenging due to luminal resistance but was successfully achieved with the Eternia Nexa stent, resulting in optimal stent expansion and restoration of TIMI grade 3 flow.
Innvolution’s Premier Elite Cath Lab provided high-resolution imaging and enhanced anatomical clarity, enabling precise assessment of complex ISR segments. The Eternia Nexa stent demonstrated excellent crossability and trackability, ensuring smooth delivery and facilitating optimal stent deployment with restoration of TIMI grade 3 flow underscoring innovation and precision in interventional cardiology.
Note: This communication is intended for healthcare professionals (HCPs) in India and is for informational purposes only. It is not intended to provide medical advice or serve as a substitute for the independent medical judgment of an HCP.